Other circulatory system operating room procedures
What 171 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.
Average charge
$179,979
Hospital list price billed
Average payment
$35,518
Medicare + patient + other payers
Medicare paid
$29,169
Average per stay
Volume
2,915
Medicare hospital stays
Hospitals in the U.S. billed an average of $179,979 for other circulatory system operating room procedures, about 5.1 times the average total payment of $35,518.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $35,518Billed $179,979
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Mississippi Baptist Medical CenterJackson, MS | $21,044 |
|---|---|
| Bsa HospitalAmarillo, TX | $21,163 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $23,009 |
| Norton Healthcare PavilionLouisville, KY | $23,026 |
| Baptist Medical CenterSan Antonio, TX | $23,117 |
| Community HospitalMunster, IN | $24,777 |
| Adventhealth OrlandoOrlando, FL | $25,921 |
| Mem Hermann Southwest HospHouston, TX | $26,650 |
| Virtua West Jersey HospitalVoorhees, NJ | $26,891 |
| ECU Health Medical CenterGreenville, NC | $27,068 |
Highest
| UT Southwestern University HospitalDallas, TX | $114,599 |
|---|---|
| Massachusetts General HospitalBoston, MA | $62,705 |
| New York-Presbyterian HospitalNew York, NY | $62,154 |
| Montefiore Medical CenterBronx, NY | $54,721 |
| The Queens Medical CenterHonolulu, HI | $52,233 |
| University HospitalStony Brook, NY | $51,863 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $51,628 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $50,061 |
| Duke University Medical CenterDurham, NC | $49,673 |
| North Shore University HospitalManhasset, NY | $48,765 |
Other circulatory system operating room procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 2 | $104,478 | $29,865 | $22,057 – $34,160 |
| Arizona | 1 | $120,076 | $41,615 | – |
| Arkansas | 1 | $130,350 | $21,138 | – |
| California | 12 | $291,690 | $42,113 | $32,086 – $52,781 |
| Connecticut | 3 | $176,150 | $43,117 | $32,393 – $55,691 |
| Delaware | 1 | $55,474 | $28,069 | – |
| Florida | 18 | $183,053 | $28,374 | $18,786 – $49,218 |
| Georgia | 3 | $231,933 | $36,026 | $30,943 – $44,603 |
| Hawaii | 1 | $89,506 | $52,233 | – |
| Illinois | 9 | $131,494 | $33,523 | $21,993 – $48,467 |
| Indiana | 4 | $98,338 | $25,156 | $21,674 – $31,316 |
| Kansas | 2 | $188,021 | $35,273 | $24,671 – $40,826 |
| Kentucky | 3 | $93,613 | $23,326 | $21,126 – $28,051 |
| Louisiana | 2 | $92,885 | $23,199 | $21,057 – $25,647 |
| Maryland | 2 | $29,928 | $29,459 | $24,382 – $34,113 |
| Massachusetts | 6 | $152,532 | $45,954 | $24,139 – $62,705 |
| Michigan | 4 | $117,059 | $32,644 | $23,052 – $50,263 |
| Minnesota | 4 | $107,293 | $37,019 | $25,413 – $51,628 |
| Mississippi | 1 | $68,904 | $21,044 | – |
| Missouri | 2 | $108,868 | $33,003 | $29,160 – $36,846 |
| Nebraska | 1 | $111,377 | $32,238 | – |
| Nevada | 1 | $357,652 | $25,765 | – |
| New Hampshire | 1 | $135,659 | $32,415 | – |
| New Jersey | 11 | $202,314 | $32,770 | $24,217 – $48,308 |
| New Mexico | 1 | $56,344 | $24,952 | – |
| New York | 16 | $267,748 | $46,601 | $29,698 – $62,154 |
| North Carolina | 6 | $107,506 | $35,831 | $26,106 – $49,673 |
| Ohio | 3 | $137,050 | $33,114 | $16,818 – $45,498 |
| Oklahoma | 2 | $101,226 | $24,548 | $22,828 – $26,581 |
| Pennsylvania | 10 | $204,299 | $35,789 | $25,737 – $72,592 |
| South Carolina | 3 | $122,141 | $34,300 | $21,921 – $42,581 |
| South Dakota | 2 | $105,885 | $25,399 | $25,159 – $25,678 |
| Tennessee | 3 | $149,396 | $31,950 | $25,221 – $42,650 |
| Texas | 16 | $196,956 | $35,170 | $19,069 – $114,599 |
| Virginia | 4 | $132,839 | $27,327 | $22,513 – $36,342 |
| Washington | 3 | $131,054 | $34,145 | $27,726 – $44,582 |
| West Virginia | 2 | $77,413 | $26,334 | $24,257 – $28,113 |
| Wisconsin | 3 | $82,603 | $28,698 | $22,548 – $38,227 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 71 | $360,195 | $62,154 |
| Adventhealth OrlandoOrlando, FL | 49 | $189,491 | $25,921 |
| Massachusetts General HospitalBoston, MA | 47 | $228,730 | $62,705 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 41 | $599,392 | $50,061 |
| NYU Hospitals CenterNew York, NY | 38 | $304,412 | $45,975 |
| Baptist Medical CenterJacksonville, FL | 37 | $174,439 | $30,180 |
| Hackensack University Medical CenterHackensack, NJ | 37 | $299,026 | $48,308 |
| Mount Sinai HospitalNew York, NY | 36 | $175,729 | $47,996 |
| Staten Island University HospitalStaten Island, NY | 36 | $180,085 | $38,915 |
| Norton Healthcare PavilionLouisville, KY | 34 | $90,453 | $23,026 |
| Valley HospitalRidgewood, NJ | 33 | $221,804 | $29,999 |
| Inspira Medical Center Mullica HillElmer, NJ | 32 | $122,735 | $30,821 |
| University HospitalStony Brook, NY | 31 | $320,101 | $51,863 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 30 | $136,193 | $51,628 |
| Southside HospitalBay Shore, NY | 28 | $245,242 | $34,441 |
Questions
How much does other circulatory system operating room procedures cost in the U.S.?
In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 171 hospitals in the U.S. was billed at $179,979 on average, while the average total payment was $35,518, of which Medicare paid $29,169. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other circulatory system operating room procedures?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($46,601), Massachusetts ($45,954), Connecticut ($43,117) and lowest in Kentucky ($23,326), Indiana ($25,156), Virginia ($27,327).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 5.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.